| NPI | 1417141623 |
|---|---|
| Other Name | FAYETTEVILLE ENDOSCOPY |
| Entity Type | Organization |
| Authorized Contact | TINA M. CASILLO Practice Administrator 910-323-5203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy (Licence: NC AS0071) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2021-02-11 |